Sharing your positive life

Bohlmeijer, Ernst Thomas; Hulsbergen, Monique

doi:10.4324/9781351112918-8

Cited by 2 publications

(2 citation statements)

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“…The intervention used for this experiment was called “This is your life,” a Web-based positive psychology intervention which aims to improve well-being in the general population [ 43 ] and has been proven effective as a self-help book with email counseling [ 41 ]. The Web-based gamified intervention was developed using a human-centered design [ 34 ].…”

Section: Methodsmentioning

confidence: 99%

Investigating the Direct Impact of a Gamified Versus Nongamified Well-Being Intervention: An Exploratory Experiment

Kelders¹,

Sommers‐Spijkerman²,

Goldberg³

2018

J Med Internet Res

102

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BackgroundGamification is a promising strategy to increase the effectiveness of Web-based mental health interventions by enhancing engagement. However, because most studies focus on the longer term effects of gamification (eg, effectiveness or adherence at the end of the intervention period), there is limited insight into how gamification may enhance engagement. Research implies that gamification has a direct impact at the time of use of the intervention, which changes the experience of the users, and thereby motivates users. However, it is unclear what this direct impact of gamification might be and how it can be measured.ObjectiveThe objective of this study was to explore the direct impact of gamification on behavioral, cognitive, and affective engagement in the context of a Web-based mental health intervention and to explore whether and how the different components of engagement are related.MethodsA pilot (n=19) and a real-life (n=75) randomized between-groups experiment was carried out, where participants used a gamified or nongamified version of the same Web-based well-being intervention for a single session. Participants (68%, 64/94 female, mean age 23 years) were asked to use the intervention in one session for research purposes. Gamification elements included a map as visualization of the different lessons, a virtual guide, and badges. Later, behavioral, cognitive, and affective engagement were measured.ResultsThe pilot experiment showed no differences between the gamified and nongamified intervention. However, in the real-life experiment, participants in the gamified intervention scored higher on cognitive engagement, that is, involvement (P=.02) and some elements of affective engagement, that is, flow as a combination of cognitive and affective engagement (P=.049), and the emotions ”interest” (P=.03) and “inspiration” (P=.009). Furthermore, the effect of gamification on cognitive engagement was mediated by the influence of gamification on specific positive emotions.ConclusionsThe gamified intervention seemed to be able to increase cognitive engagement and the combination of cognitive and affective engagement but not behavioral and affective engagement alone. However, positive emotions seem to play an important role in mediating the effect of gamification on engagement. In conclusion, we cannot say that gamification ”works” but that the design of an intervention, in this case, gamification, can have an impact on how participants experience the intervention.

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Section: Methodsmentioning

confidence: 99%

Investigating the Direct Impact of a Gamified Versus Nongamified Well-Being Intervention: An Exploratory Experiment

Kelders¹,

Sommers‐Spijkerman²,

Goldberg³

2018

J Med Internet Res

102

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“…Participants in the intervention group received (1) the self-help book This is Your Life [ 21 ], (2) a 9-week time schedule for reading the book with recommended exercises, and (3) weekly email support from a personal counselor. The book consists of eight chapters containing psycho-education, theoretical background information, and a variety of evidence-based exercises from positive psychology, but also from mindfulness and acceptance and commitment therapy.…”

Section: Methodsmentioning

confidence: 99%

Towards sustainable mental health promotion: trial-based health-economic evaluation of a positive psychology intervention versus usual care

Schotanus-Dijkstra¹,

Drossaert²,

Pieterse³

et al. 2018

BMC Psychiatry

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BackgroundMental well-being could be promoted and protected by positive psychology (PP) based interventions. Such interventions may be appealing for people at risk of anxiety and depressive disorders, but health-economic evaluations are scarce. The aim was to examine the cost-effectiveness of a PP intervention.MethodsParticipants with suboptimal levels of mental well-being were randomly assigned to an email guided PP-intervention (n = 137) or a wait-list control group (n = 138) with access to usual care (UC). At baseline and 6 months follow-up, data were collected on health care costs. Outcomes of interest were flourishing mental health and treatment response on anxiety and depressive symptoms.ResultsBootstrapped mean incremental cost-effectiveness ratios were €2359 ($2899) for flourishing, €2959 ($3637) for anxiety and €2578 ($3168) for depression, suggesting appreciable health gains for low additional costs. At a willingness to pay ceiling of €10,000 ($12,290) for a treatment response, the probability that the intervention is deemed cost-effective ranged between 90 and 93%.ConclusionsThe guided PP intervention appears to be a promising strategy as seen from both a public health and a health-economic perspective, especially when there is some willingness to pay. When the PP-intervention is scaled up, then outcome monitoring is recommended to better guarantee the longer term cost-effectiveness of the intervention.Trial registrationThe Netherlands National Trial Register NTR4297. Registered on 29 November 2013. The NTR is part of the WHO Primary Registries.

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Sharing your positive life

Cited by 2 publications

References 1 publication

Investigating the Direct Impact of a Gamified Versus Nongamified Well-Being Intervention: An Exploratory Experiment

Investigating the Direct Impact of a Gamified Versus Nongamified Well-Being Intervention: An Exploratory Experiment

Towards sustainable mental health promotion: trial-based health-economic evaluation of a positive psychology intervention versus usual care

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